JEANNIE WAKAMATSU


Address: 10312 Almayo Ave., Suite 6, Los Angeles, CA 90064
Phone: 2137401728

JEANNIE WAKAMATSU (NPI# 1013404136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013404136
Entity Type Individual
Full Name JEANNIE WAKAMATSU
Credential MPH, RD
Practice Address 10312 Almayo Ave.
Suite 6
Los Angeles
CA 90064
Practice Telephone 2137401728
Mailing Telephone 2137401728
Enumeration Date 2018-04-13
Last Update Date 2018-04-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 889669 CA Dietary & Nutritional Service Providers

Office Location

Street Address 10312 ALMAYO AVE.
SUITE 6
City LOS ANGELES
State CA
Zip Code 90064

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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

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Competitor

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City LOS ANGELES
Zip Code 90064

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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